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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Numbe : Fti C, 1% 44 CLE Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 NOV 2 9 2019 Building Permit Applic WN, itting Department St. Lucie County, FL Commercial Residential X PERMIT TYPE: LP TANK TPPOSED IMPROUEM,ENT LOCi4TION � e y_ N y a y Address: 1503 NW Sawgrass WAY Palm City, FL 34990 Property Tax ID #: 4426-815-0062-000-4 Site Plan Name: Ludgate Project Name: Supply and install 500 gallon underground LP tank with gas line to generator and final connect Lot No. Block No. +' ash n' z CQNSTRUCTION INFORMATION k� Additional work to be performed under this permit —check all that apply: —Mechanical ,<Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 3495.00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: 01NtNER%LESSEE s CONTRACTOR`' NameJohn Ludgate Name: Blake Cowdell Address:1503 NW Sawgrass WAY Company: Energized Gas City: Palm City State. -IF Zip Code: 34990 Fax: Phone No.9083853518 Address:1786 SW Biltmore St City: Port ST Lucie State. FL Zip Code: 34984 Fax: 7723186672 Phone N07724661095 E-Mail energizedgenerators@gmail.com E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License LG34747 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. -SUPPLEMENTAL CONSTRUCTION LIEN LAW INF'ORMATION. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: , State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or ancovenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." iujk �W& 9-) de., rMA4a Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of C(Tntractor/Licen'se Holder STATE OFF LO STATE OF FLO COUNTY OF SrA)C� COUNTY OF MA)c—u— The for oing instr1irrient k p_wledged before me wa� ac n this —gay of Mar20_JC1 by The forgoing 'nsumentwas acknowleclg�d before me �Wing i this 2019 by � I ,b [Ae aAAW II . cp_A . Name of person making statement. — Name of person making statement. Personally Known X OR Produced Identification Personally Known )L/ OR Produced Identification Type of Identification Type of Identification Produced Produced ffijuA L hnrJCiAa `i�b 1, I'll Anca,o (Sig Com DMIMLA GONCALVES XPIRMB,. Jung 2022 Banded Thiu Nft PON UrAW&I (Signature o Commission N DANIELLE GONCALVES MY COMMISSION 1%"2946 IRM: Juno 7,20 2 7.20 Thru Nataiy Phublla Uafwd(em REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED iev.